SNAP-Ed Toolkit Submission Form and Scoring Tool (FNS 885 and FNS 886) w/ Screenshots

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS 885 Interventi Intervention Scoring Tool	Form and Instruction	Modified	Available
Form FNS 886 Intervention Submission Form	Form and Instruction	Modified	Available
Form FNS 885 Business for (130) and not for profit (16)	Form and Instruction	Modified	Repair queued
Form FNS 885 SNAP Ed Toolkit Intervention Scoring Tool	Form and Instruction	Modified	Available
Form FNS 886 SNAP Ed Intervention Submission Form	Form and Instruction	Modified	Available
FNS-885 Intervention Scoring Tool 11.25.24.xlsx	Supplementary Document	Uploaded 2024-12-05	Available
FNS-886 Intervention Submission Form 11.25.24.pdf	Supplementary Document	Uploaded 2024-12-05	Available
PC_202409-0584-001_102124_072351_1.pdf	Public Comments	Uploaded 2024-10-21	Repair queued
PC_202409-0584-001_102124_030832_1.pdf	Public Comments	Uploaded 2024-10-21	Available
PC_202409-0584-001_102124_015019_1.pdf	Public Comments	Uploaded 2024-10-21	Available
Federal Comment Oct 2024_DC.pdf	Public Comments	Uploaded 2024-10-21	Repair queued
ASNNA Response SNAP-Ed Toolkit Submission Form and Scoring Tool (FNS 885 and FNS 886) _10.18.2024.pdf	Public Comments	Uploaded 2024-10-18	Repair queued
PC_202409-0584-001_101824_113820_1.pdf	Public Comments	Uploaded 2024-10-18	Available
PC_202409-0584-001_100324_011947_1.pdf	Public Comments	Uploaded 2024-10-03	Available
Appendix D. FNS-885 Intervention Scoring Tool 9.30.24.xlsx	Supplementary Document	Uploaded 2024-09-30	Repair queued
Appendix D. FNS-885 Intervention Scoring Tool 9.30.24.xlsx	Supplementary Document	Uploaded 2024-09-30	Repair queued
Appendix C1. FNS-886 Intervention Submission Form Online Survey Screenshot.pdf	Supplementary Document	Uploaded 2024-09-30	Repair queued
Appendix C1. FNS-886 Intervention Submission Form Online Survey Screenshot.pdf	Supplementary Document	Uploaded 2024-09-30	Repair queued
Appendix C. FNS-886_Intervention_Submission_Form 09.30.24.pdf	Supplementary Document	Uploaded 2024-09-30	Available
Appendix C. FNS-886_Intervention_Submission_Form 09.30.24.pdf	Supplementary Document	Uploaded 2024-09-30	Repair queued
Appendix F3. Public Comment from Susan Foerster.pdf	Public Comments	Uploaded 2024-09-12	Available
Appendix F2. Public Comment from CalFresh Healthy Living Program.pdf	Public Comments	Uploaded 2024-09-12	Available
Appendix F1. Public Comment ASNNA.pdf	Public Comments	Uploaded 2024-09-12	Repair queued
Appendix E. Excel_Burden_Table_(FNS-885 and FNS-886).xlsx	Supplementary Document	Uploaded 2024-09-12	Repair queued
Appendix E. Excel_Burden_Table_(FNS-885 and FNS-886).xlsx	Supplementary Document	Uploaded 2024-09-12	Repair queued
App. B - 7 CFR 272.2(d)(2) - Nutrition Education Plan OMB Control Number 0584-0639.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
App. B - 7 CFR 272.2(d)(2) - Nutrition Education Plan OMB Control Number 0584-0639.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
App. A - Food and Nutrition Act (FNA), Section 28, as amended by the Agriculture Improvement Act of 2018 (7 U.S.C. 2036a) OMB Control Number 0584-062.pdf	Supplementary Document	Uploaded 2024-09-12	Available
App. A - Food and Nutrition Act (FNA), Section 28, as amended by the Agriculture Improvement Act of 2018 (7 U.S.C. 2036a) OMB Control Number 0584-062.pdf	Supplementary Document	Uploaded 2024-09-12	Repair queued
FNS-885_886_Supporting_Statement_Part A_12.5.24_FINAL.docx	Supporting Statement A	Uploaded 2024-12-05	Available
SNAP-Ed Intervention Submission Form and Scoring Tool - Supporting Statement Part A_9.30.24 final clean.docx	Supporting Statement A	Uploaded 2024-09-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229729	Business for (130) and not for profit (16)	Other-FNS 886 Qualtrics Screenshot	Modified
229729	Business for (130) and not for profit (16)	Form and Instruction	Modified	Intervention Scoring Tool
229729	Business for (130) and not for profit (16)	Form and Instruction	Modified	Intervention Submission Form
229729	Business for (130) and not for profit (16)	Form and Instruction	Modified
229727	State, Local and Tribal Agencies	Form and Instruction	Modified	SNAP Ed Toolkit Intervention Scoring Tool
229727	State, Local and Tribal Agencies	Form and Instruction	Modified	SNAP Ed Intervention Submission Form
229727	State, Local and Tribal Agencies	Other-FNS 886 Screenshot	Modified

ICR Details

OMB Control No: 0584-0639	ICR Reference No: 202409-0584-001
Status: Active	Previous ICR Reference No: 202110-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: SNAP-Ed Toolkit Submission Form and Scoring Tool (FNS 885 and FNS 886) w/ Screenshots
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/06/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/30/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	36 Months From Approved	12/31/2024
Responses	94	0	231
Time Burden (Hours)	320	0	550
Cost Burden (Dollars)	0	0	0

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Abstract: SNAP-Ed State and Implementing Agencies can and will identify and choose evidence-based activities (interventions) using the SNAP-Ed Strategies and Interventions: An Obesity Prevention Toolkit for States (Toolkit) FNS 885 and FNS 886. The Toolkit is a publicly-available online searchable database of interventions which have been peer-reviewed to confirm that they are evidence-based for use in SNAP-Ed nutrition education and physical activity promotion activities.

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Authorizing Statute(s): US Code: 7 USC § 28(c)(3)(A) Name of Law: The Food and Nutrition Act of 2008
   PL: Pub.L. 113 - 79 SEC. 28. 7 U.S.C. 2036a Name of Law: FOOD AND NUTRITION ACT OF 2008
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 7356	02/02/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 76786	09/19/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Business for (130) and not for profit (16)	FNS 886, FNS 885 Intervention Scoring Tool	Intervention Submission Form ,   Intervention Scoring Tool
State, Local and Tribal Agencies	FNS 886, FNS 885	SNAP Ed Intervention Submission Form ,   SNAP Ed Toolkit Intervention Scoring Tool

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	94	231	0	-137	0	0
Annual Time Burden (Hours)	320	550	0	-230	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This revision reflects an overall lower annual burden estimate of 320 hours, which is a decrease from the current estimate of 550 hours. This revised collection is estimated to receive a total of 94 responses per year, which is a decrease from the current estimate of 231 responses. This estimate is a decrease based on historical submission data and the expectation that fewer interventions may be submitted to the SNAP-Ed Toolkit on a biennial basis. The decrease in burden hours and responses is due to a decrease in participants in the program.

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Annual Cost to Federal Government: $33,898

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/30/2024

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